| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,177.71 |
$2,500 |
1.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,413.25 |
$3,000 |
1.6× |
| Colonoscopy with biopsy (45380) |
$1,681.30 |
$3,569 |
1.4× |
| Colonoscopy with lesion removal (45385) |
$2,639.48 |
$5,603 |
2.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$779.18 |
$1,654 |
0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,216.81 |
$2,583 |
1.4× |
| CT head/brain without contrast (70450) |
$842.30 |
$1,788 |
8.2× |
| MRI brain without contrast (70551) |
$1,490.98 |
$3,165 |
6.4× |
| MRI brain with contrast (70552) |
$1,055.23 |
$2,240 |
3.1× |
| MRI brain without and with contrast (70553) |
$1,524.43 |
$3,236 |
4.5× |
| X-ray lower spine, 4+ views (72110) |
$430.57 |
$914 |
4.2× |
| MRI lumbar spine without contrast (72148) |
$1,021.31 |
$2,168 |
4.4× |
| CT pelvis with contrast (72193) |
$956.30 |
$2,030 |
5.6× |
| MRI lower-extremity joint without contrast (73721) |
$1,019.43 |
$2,164 |
4.4× |
| CT abdomen and pelvis with contrast (74177) |
$1,884.34 |
$4,000 |
5.5× |
| Ultrasound, abdomen complete (76700) |
$890.82 |
$1,891 |
8.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$478.15 |
$1,015 |
4.7× |
| Ultrasound, transvaginal (76830) |
$822.04 |
$1,745 |
8.1× |
| Mammography, one breast (diagnostic) (77065) |
$211.05 |
$448 |
2.4× |
| Mammography, both breasts (diagnostic) (77066) |
$257.69 |
$547 |
2.3× |
| Mammography, screening (bilateral) (77067) |
$155.70 |
$330.50 |
1.7× |
| Basic metabolic panel (80048) |
$105.53 |
$224 |
12.5× |
| Comprehensive metabolic panel (80053) |
$201.16 |
$427 |
19.0× |
| Lipid panel (80061) |
$60.78 |
$129 |
4.5× |
| Renal function panel (80069) |
$179.96 |
$382 |
20.7× |
| Hepatic function panel (80076) |
$117.30 |
$249 |
14.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$28.27 |
$60 |
8.1× |
| PSA, total (84153) |
$119.66 |
$254 |
6.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$79.62 |
$169 |
4.7× |
| CBC with automated differential (85025) |
$82.92 |
$176 |
10.7× |
| CBC, automated (85027) |
$56.53 |
$120 |
8.7× |
| Prothrombin time (PT) (85610) |
$56.53 |
$120 |
13.2× |
| Partial thromboplastin time (PTT) (85730) |
$76.32 |
$162 |
12.7× |
| Left heart catheterization (93452) |
$2,236.24 |
$4,747 |
0.7× |
| Sleep study (attended polysomnography) (95810) |
$3,078.06 |
$6,534 |
3.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$100.34 |
$213 |
3.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$189.38 |
$402 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$247.79 |
$526 |
1.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$274.65 |
$583 |
2.1× |